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Mimi Song Idicula, NP

Nurse Practitioner in Irving, TX · enumerated 2007 · practices at Healthcare Associates of Irving.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003009580

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Registry record

Entity type Individual (Type 1)
Name Mimi Song Idicula
Credential NP
Sex Female
Practice address 6161 N State Highway 161, Irving, TX, 75038
Fax (972) 257-0897
Enumeration date Aug 20, 2007
Last updated in NPPES Jul 13, 2021

Taxonomy & licenses

111N00000X Chiropractor Chiropractic Providers · License 10049 (TX) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP137449 (TX) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier Type State Issuer
AP137449 Other TX NURSE PRACTITIONER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Mimi Idicula's NPI record?
Cross-check NPI 1003009580 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1003009580 active?
Yes, as of the latest NPPES snapshot, NPI 1003009580 is active (record last updated 2021-07-13).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-13.